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Published on: October 6, 2016
Trauma-Informed HIV Care Interventions: Towards a Holistic Approach
Monique J Brown1,2,3,4, Oluwafemi Adeagbo5,6,7
1Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Discovery I, 435C, Columbia, SC, 29208, USA. brownm68@mailbox.sc.edu.
Trauma significantly impacts HIV treatment outcomes. Trauma-informed interventions show promise for improving care engagement and adherence to antiretroviral therapy (ART) among people with HIV.
Area of Science:
- Public Health
- HIV Medicine
- Trauma Studies
Background:
- Trauma is more prevalent in people with HIV (PWH) than the general population.
- Trauma can impede critical HIV treatment milestones, including linkage to care, engagement, antiretroviral therapy (ART) adherence, and viral suppression.
Purpose of the Study:
- To review trauma-informed interventions designed to enhance HIV treatment outcomes.
- To identify strategies for improving care for PWH affected by trauma.
Main Methods:
- Literature review of studies on trauma-informed interventions in HIV care.
- Synthesis of findings on the impact of these interventions on treatment outcomes.
Main Results:
- Trauma-informed approaches may improve engagement in care and ART adherence.
- Outcomes can be similar to standard care depending on intervention specifics.
- Limited research exists on the direct impact of trauma-informed interventions on HIV outcomes.
Conclusions:
- Trauma-informed interventions are a potential strategy to improve HIV treatment outcomes.
- Further research is crucial to assess the acceptability, feasibility, and efficacy in diverse PWH populations.
- Targeted research is needed for older adults and minority groups living with HIV.
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